Jain Avni, Jain Ruchi, Nugent Zoann, Solati Zahra, Davidson Dylan, Shafer Leigh Anne, Restall Gayle, Reynolds Kristin, Singh Harminder
Department of Internal Medicine, Section of Gastroenterology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Psychology, Faculty of Arts, University of Manitoba, Winnipeg, Manitoba, Canada.
J Can Assoc Gastroenterol. 2022 Apr 28;5(4):161-168. doi: 10.1093/jcag/gwab047. eCollection 2022 Aug.
Invasive medical procedures such as colonoscopies can cause psychological distress and anxiety. Mycolonoscopy.ca is a multilanguage website that provides online written and video information (individual items reported in prior publications to be highly rated by patients) regarding preparation and what to expect before, during, and after colonoscopy. Information about how to access the website is included with all colonoscopy appointment materials in Winnipeg, Manitoba. We evaluated the use of mycolonoscopy.ca among patients undergoing colonoscopy and examined the association between visitation to the website and patient outcomes.
A paper-based survey was distributed to patients attending their colonoscopy appointments between 11/2019 and 3/2020. Logistic regression analyses were performed to determine the factors associated with website visitation, procedural worry, and bowel preparation scores.
Five hundred and ninety-three surveys were distributed, of which 506 were completed. 17.4% of participants had visited the website before their colonoscopy. Visitors to mycolonoscopy.ca were more likely to consume a split-dose bowel preparation (63.9%) compared with non-visitors (52.5%) ( = 0.006). 31.3% of website visitors were very/extremely worried about their colonoscopy compared with 17.9% of non-visitors. 76.6% of individuals agreed/strongly agreed that visiting the website helped them prepare for their colonoscopy and 69.7% who visited the website agreed/strongly agreed that it helped to reduce their stress/anxiety for the procedure. In multivariable analyses, visitation to website was associated with higher adequate bowel preparation (OR:10.55; 95% CI:1.35 to 82.4).
Use of an informative online platform such as mycolonoscopy.ca can help to improve patient education before colonoscopy, reduce worry surrounding the procedure, and improve bowel preparation.
诸如结肠镜检查等侵入性医疗程序可能会导致心理困扰和焦虑。Mycolonoscopy.ca是一个多语言网站，提供有关结肠镜检查前准备以及检查期间和之后会发生什么的在线书面和视频信息（先前出版物中报道的各个项目在患者中获得了很高的评价）。有关如何访问该网站的信息包含在马尼托巴省温尼伯市所有结肠镜检查预约材料中。我们评估了结肠镜检查患者对Mycolonoscopy.ca的使用情况，并研究了访问该网站与患者检查结果之间的关联。
在2019年11月至2020年3月期间，向参加结肠镜检查预约的患者发放了纸质调查问卷。进行逻辑回归分析以确定与网站访问、检查担忧和肠道准备评分相关的因素。
共发放了593份调查问卷，其中506份完成。17.4%的参与者在结肠镜检查前访问过该网站。与未访问者（52.5%）相比，Mycolonoscopy.ca的访问者更有可能采用分剂量肠道准备（63.9%）（P = 0.006）。31.3%的网站访问者对结肠镜检查非常/极其担心，而未访问者的这一比例为17.9%。76.6%的人同意/强烈同意访问该网站有助于他们为结肠镜检查做准备，69.7%访问该网站的人同意/强烈同意这有助于减轻他们对该检查的压力/焦虑。在多变量分析中，访问网站与更高的充分肠道准备相关（比值比：10.55；95%置信区间：1.35至82.4）。
使用诸如Mycolonoscopy.ca这样的信息丰富的在线平台有助于改善结肠镜检查前的患者教育，减少对该检查的担忧，并改善肠道准备。
